Derrick Del Rosario, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012334A Issued in IN

Practice address

7777 E Ridge Rd
Hobart, IN 46342-2458

Phone

(219) 947-2922

NPI assigned

Jun 8, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridgewood Dental P.C.

  • Dental Clinic/Center
  • Hobart, IN
  • NPI 1730666579
  NPD (past)
• Robert B. Ray

  dba DBA Ridgewood Dental Center

  • Dental Clinic/Center
  • Hobart, IN
  • NPI 1568509214
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1801276514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E RIDGE RD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463422458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 E RIDGE RD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463422458",
            "telephone_number": "219-947-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "DERRICK",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012334A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas C Dedelow, DO
• Deepak G Bhojraj M.D. Inc.
• Jeanne Antoinette Degrazia, D.D.S.
• Joseph A Dejoan, M.D.
• Nico Renzo Del Piccolo, MD
• Ryan Dempsay
• Shavonnne Dennie, MSW
• Raja G Devanathan, M.D.
• Lindsay Diamond, OT
• Lauren Diaz

• General Practice Dentistry in Hobart, IN
• Providers in Hobart, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.